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Chapter 7 Shock
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Shock (1 of 2) Perfusion Adequate blood and oxygen are provided to all cells in body Circulatory system failure Not enough oxygenated blood is being supplied to every part of the body Can permanently damage body parts if untreated
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Shock (2 of 2) Circulatory system has three components:
Working pump (heart) Network of pipes (blood vessels) Adequate amount of fluid (blood) Circulatory system failure Pump (heart) failure Fluid loss Pipe failure (blood vessels)
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Perfusion Triangle
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Types of Shock Cardiogenic Hypovolemic Neurogenic Septic Anaphylactic
Psychogenic
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Recognizing Shock Altered mental status Pale, cold, and clammy skin
Nausea and vomiting Rapid breathing and pulse Unresponsive in late stages
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Care for Shock Treat severe and life-threatening injuries.
Position victim on his or her back. Raise victim’s legs 6 to 12 inches. Prevent heat loss.
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Anaphylaxis Immune system reacts violently to a particular substance
Severe allergic reactions to: Medications Foods Insect stings Plant pollen
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Recognizing Anaphylaxis (1 of 2)
Skin Flushing, itching, burning Hives Swelling Cyanosis Circulatory system Weak pulse Dizziness Fainting
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Recognizing Anaphylaxis (2 of 2)
Respiratory system Sneezing Chest tightness Breathing difficulty Secretions of fluid Wheezing Breathing stops
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Care for Anaphylaxis (1 of 2)
Monitor breathing. Administer CPR if needed. Call immediately.
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Care for Anaphylaxis (2 of 2)
If victim has epinephrine auto-injector, help with its use. Give antihistamine to prevent further reactions. Keep responsive victim sitting up.
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Psychogenic Shock Once victim is lying down, responsiveness usually returns. If victim fell or has trouble walking: Check for head and spine injury. Call immediately.
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